Checker balloon winding machine

ABSTRACT

A device for winding a filament around a structure disposed concentrically around a distal end of a balloon catheter includes a rotatable holder for retaining a distal end of the balloon catheter, a translatable winding carriage for helically winding the tensioned filament around the balloon catheter distal end, a heater for applying a predetermined amount of heat to a section of the balloon catheter having the filament wound therearound, and a controller for controlling at least the rate of rotation of the holder, the tensioning force applied to the filaments the amount of heat applied by the heater, and the rate of travel of the translatable winding carriage along the longitudinal dimension of the balloon catheter. By use of the device, the balloon is heat set and a predetermined checkering pattern of surface indentations are provided in the structure exterior surface in a single pass.

FIELD OF THE INVENTION

Generally, the present invention relates to balloon catheters includingat least a catheter tube and an inflatable balloon. Particularly, itrelates to methods and devices for providing a catheter tube having aconcentrically disposed inflatable balloon, stent, stent graft, orcombination thereof, wherein there is provided on the surface of theconcentrically disposed inflatable balloon, stent, stent graft, graft,or combination thereof a predetermined pattern of surface indentations.

BACKGROUND OF THE INVENTION

It is well known in the medical arts to provide structures such asinflatable balloons, stents, stent grafts, grafts, and the like disposedconcentrically on a distal end of a catheter. Such structures serve avariety of useful purposes, such as widening a vessel having an interiorlumen (for example, a blood vessel) into which the catheter is inserted,forcing open a blocked or partially blocked vessel, delivering a stent,graft, or stent graft to a desired section of a vessel for unblocking orrepair purposes, and the like. The dimensions and properties of suchstructures (length, thickness, flexibility and the like), and thematerials from which they are fabricated, vary widely in accordance withthe intended use thereof.

Using the balloon catheter as an example, it is desirable for theballoon, when in the deflated state, to define a low profileconfiguration, conforming to the exterior dimensions of the catheterdistal end, for lesion crossability, trackability, and overalldeliverability of the catheter. That is, it is desirable for theballoon, which is folded on and concentrically disposed around anexterior surface of the catheter, to increase the cross-sectionaldimension of the catheter/balloon assembly as little as possible whendeflated. This preserves the flexibility of the catheter and improvescatheter tracking and deliverability of the catheter, particularly atthe distal end on which the balloon is disposed, and reduces thepotential for damage to the vessel wall during insertion/retraction ofthe catheter. Similarly, this minimizes introducer sheath compatibility.

To achieve this and other goals, it is known to define a pattern ofindentations such as grooves, channels, relief structures, and the like(termed “checkering”) on an exterior of a structure wrappedconcentrically about a catheter, such as for example a deflated balloon,a stent, a graft, a stent graft, or the like. Upon inflating theballoon, such as with sterile saline or the like passed through thecatheter lumen and therefrom into an interior of the balloon, theindentations substantially disappear as the balloon inflates. Upondeflating the balloon, the indentations reform, and may assist theballoon in reverting to the former, low profile configuration about thecatheter. This reversion to the low profile configuration may assist inrefolding of the device for reinsertion.

Such indentations may be molded, cut, or carved into the exteriorsurface of the balloon. However, this method increases labor andmanufacturing costs. More desirably, the surface pattern of indentationsmay be defined in or on that exterior structure by winding a suitablematerial, such as a tape, beading, wire, fiber, filament, or the likearound an exterior surface of the balloon, and applying heat andpressure to create the desired pattern of indentations. Prior windingmethods for providing such a pattern of indentations, primarilyinvolving manual winding, do not satisfactorily address quality controlissues. Particularly, such manual methods do not provide suitableconsistency in terms of tension applied to the filament, and also do notprovide consistent catheter-to-catheter results in terms of the pitch ofthe wound line and the resulting pattern. Still further, heat andpressure-applying devices known ill the prior art for cathetermanufacture require constant re-adjusting/re-tooling to accommodatecatheters of different lengths.

The present disclosure addresses a need in the art for methods anddevices for providing such a pattern of surface indentations in anexterior surface of a balloon, stent, graft, stent graft, or combinationthereof disposed concentrically about the distal tip of a catheter. Inparticular, improved methods and devices for automating the process ofproviding such surface indentations are disclosed. Even more, thepresent disclosure provides methods and devices for not only automatingthe process, but also for accommodating catheters of substantially anylength without need for reconfiguration of the device. The presentlydisclosed invention meets this need in the art, while also contemplatinggood engineering practices, including relative inexpensiveness,stability, ease of implementation, low complexity, etc.

SUMMARY OF THE INVENTION

The above-mentioned and other problems become solved by applying theprinciples and teachings associated with the hereinafter-describedmethods and systems for providing surface indentations in an exteriorsurface of a balloon or other structure concentrically disposed on adistal end of a catheter. Broadly, the invention provides a device forproviding such surface indentations using a tape, beading, wire, fiber,filament, or the like, wherein the surface indentations are provided bywrapping the tape, beading, wire, fiber, filament, or the like around anexterior of the balloon or other structure, and concurrently applyingheat and pressure. Advantageously, the presently disclosed inventionallows providing such surface indentations on an exterior surface of theballoon or other structure in a single pass.

Generally, in one aspect of the invention there is described a devicefor winding a filament around an exterior surface of a balloon catheterto provide a predetermined pattern of surface indentations in anexterior surface of the balloon. The device includes at least acontroller, a rotatable holder for holding at least a distal end of aballoon catheter at opposed ends of a balloon disposed on the catheterdistal end, and a translatable winding carriage for winding a filamentaround an exterior surface of the balloon disposed on the catheterdistal end. The controller causes the translatable winding carriage tomove along a longitudinal dimension of the balloon catheter to wind thefilament around the balloon catheter at a predetermined pitch.

Typically, the translatable winding carriage includes at least afilament spool for holding a length of filament for winding around theballoon, a tensioner for applying a predetermined tensioning force tothe filament during a filament winding step, and a heater such as aforced air heater for applying a predetermined amount of heat to asection of the balloon having a length of filament wound therearound.Thus, the filament is wound helically around the balloon catheterexterior, the balloon is heat set, and the predetermined pattern ofsurface indentations are provided in the balloon exterior surface in asingle pass. The heating step occurs very shortly after the windingstep, which reduces the risk of shifting of the wound line anddisruption of the desired pattern and/or pitch.

A rotatable catheter body holder may also be provided for holding aportion of a catheter body not held by the catheter distal end holder.It will be appreciated that this feature provides a “one size fits all”advantage, in that a balloon catheter of any length may be accommodatedfor checkering without any need to reconfigure the device.

In another aspect, there is provided herein a method for winding afilament around an exterior surface of a balloon catheter to provide apredetermined pattern of surface indentations in an exterior surface ofthe balloon. Broadly, the method includes the steps of providing aholder for holding at least a distal end of a balloon catheter atopposed ends of a balloon disposed on the catheter distal end, rotatingthe balloon catheter held in the holder at a predetermined rate ofrotation, and concurrently winding a filament under a predeterminedamount of tensioning force helically along a longitudinal dimension ofan exterior surface of the balloon catheter and applying a predeterminedamount of heat from a heater to the filament wound helically around theballoon catheter to provide the predetermined pattern of surfaceindentations in the exterior surface of the balloon.

According to the present method, the filament and the heaterconcurrently travel along the longitudinal dimension of the ballooncatheter to provide the predetermined pattern of surface indentations inthe exterior surface of the balloon at a predetermined pitch in a singlepass. Typically, the amount of tension applied to the filament, theamount of heat applied by the heater, and the rate of rotation of theballoon catheter are selected according to the physical dimensions andmaterials of fabrication of the balloon catheter to provide thepredetermined pattern of surface indentations at the predeterminedpitch.

These and other embodiments, aspects, advantages, and features of thepresent invention will be set forth in the description which follows,and in part will become apparent to those of ordinary skill in the artby reference to the following description of the invention andreferenced drawings or by practice of the invention. The aspects,advantages, and features of the invention are realized and attained bymeans of the instrumentalities, procedures, and combinationsparticularly pointed out in the appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings incorporated in and forming a part of thespecification, illustrate several aspects of the present invention, andtogether with the description serve to explain the principles of theinvention. In the drawings:

FIG. 1 shows a front view of a device for imposing a pattern of surfaceindentations on a balloon catheter;

FIG. 2 is a side view of the device shown in FIG. 1;

FIG. 3 shows a screw drive for use with the device of FIG. 1;

FIG. 4 shows a supporting follower for use with the device of FIG. 1;

FIG. 5 shows a rotatable clamp for use with the device of FIG. 1;

FIGS. 6 a-b show a mandrel support and mandrel for use with the deviceof FIG. 1;

FIGS. 7 a-c show components of the device of FIG. 1 in schematic form;and

FIG. 8 shows a filament wrapped around a balloon catheter and protectorby the method and device described herein.

DETAILED DESCRIPTION OF THE ILLUSTRATED EMBODIMENTS

In the following detailed description of the illustrated embodiments,reference is made to the accompanying drawings that form a part hereof,and in which is shown by way of illustration, specific embodiments inwhich the invention may be practiced. These embodiments are described insufficient detail to enable those skilled in the art to practice theinvention and like numerals represent like details in the variousfigures. Also, it is to be understood that other embodiments may beutilized and that process, mechanical, electrical, arrangement, softwareand/or other changes may be made without departing from the scope of thepresent invention. In accordance with the present invention, devices andmethods for providing a predetermined pattern of surface indentations inan exterior surface of a balloon of a balloon catheter are hereinafterdescribed.

The following discussion describes an embodiment of the presentinvention, wherein a pattern of surface indentations is provided on anexterior surface of a balloon disposed concentrically around an exteriorof a catheter distal end, which process is known as “checkering” in theart. The skilled artisan will appreciate that the description applieslikewise to a balloon, a stent, a stent graft, or any desiredcombination thereof disposed concentrically around an exterior of thecatheter distal end, without consideration of undue experimentation.Further, the described embodiment utilizes a nylon filament forimposing, the surface indentations, but the skilled artisan willsimilarly realize that any alternative structure of any suitablematerial according to the size and shape of the desired surfaceindentations may be utilized, including without limitation a tape,beading, wire, fiber, filament, or the like without undueexperimentation.

With reference to FIG. 1, a representative device 100 for providing apattern of surface indentations on an exterior surface of a balloon,stent, stent graft, or combination thereof disposed concentricallyaround an exterior of a catheter distal end is shown. The device 100includes at least a controller 102, a catheter body holder 104, catheterdistal end holders 106 a,b for holding a catheter distal tip (not shownin this view) at opposed ends, and a translatable winding carriage 108.

With reference to FIG. 2, the catheter body holder 104 in the embodimentshown includes a circular body 202 and a raised circumferential lip 204for retaining the catheter body in place. It will be appreciated thatthe user need only place the catheter body (shaft) 206 in an interior ofthe catheter body holder 104, thereby conveniently storing the catheterbody 206 during a winding operation described in detail below. Thus,regardless of the length of the catheter to be checkered, the presentdevice 100 can accommodate it without reconfiguration of any partthereof.

FIG. 2 also shows the winding carriage 108, which in the depictedembodiment includes a spool holder 208 and a spool 210 for holding thestructure used to provide the surface indentations, in the depictedembodiment being a reel of nylon filament 212. The nylon filament ispassed through a sensor 214, in the depicted embodiment being arrayedpulleys 216 a,b,c, which operate substantially as a tensiometer formeasuring a tension applied to the nylon filament 212. The specifictensioning force applied to the filament 212 is determined by anelectromagnetic braking system 213, which serves as a continuouslyvariable clutch under the control of the controller 102 as will bedescribed below. In the depicted embodiment, electromagnetic brakingsystem 213 acts as a continuously variable clutch which applies more orless resistance to rotation in accordance with the amount of currentapplied. The tensiometer (pulleys 216 a,b,c) measures the tensionapplied to filament 212 created by that resistance to rotation, andprovides feedback to the controller 102 to maintain that tension at aconstant, predetermined value. It is contemplated to apply tension tothe filament 212 of from about 100 g to about 500 g to provide thedesired checkering pattern.

Additional guiding posts 218, 220, which may also include pulleys, areincluded to support the filament 212. From guide post 220, the filament212 is passed to a supporting follower (see below) disposed near aballoon catheter 222 held ill the catheter distal end holders 106 a,b.

The winding carriage 108 also supports a heater 224, in the depictedembodiment being a forced air heater of substantially conventionaldesign for applying a predetermined amount of heat to a balloon catheterheld in the catheter distal end holders 106 a,b. The depicted embodimentincludes a heat element 226 for providing heat in any desired range, andan air source/tubing 228 for passing air through the heater 224 at adesired rate to contact a balloon catheter 222 held in holder 106. Itwill be appreciated that additional structures (not shown) associatedwith the heater 224 are contemplated, such as nozzle extensions/tips forfurther focusing airflow and heat to a desired point on the catheter222. It is contemplated to provide a heat element 226 providing heatedair in a heating range of from about 45° C. to about 120° C., and an airsource/tubing 228 providing an air flow at from about 30 to about 50liters/minute. The specific heat and air flow applied to the filament212 are determined by the controller 102 as will be described below. Asafety shield 230 may also be provided for user safety.

The heater 224 is configured to apply precise heating to a ballooncatheter at a predetermined distance behind the point at which thefilament 212 is wrapped around the balloon catheter, to create (incombination with a tension applied to the filament, discussed in greaterdetail below) the desired pattern of surface indentations in the balloonexterior surface. In the depicted embodiment, the heater is held on thewinding carriage 108 whereby heat is applied to a position about oneinch behind the point at which the filament 212 is wrapped around theballoon catheter. Of course, it will be appreciated that this distancemay vary in accordance with any number of parameters.

The winding carriage 108 is configured to be translatable laterallyalong one or more tracks or shafts 232, in a direction parallel to aballoon catheter 222 held in the catheter distal end holders 106 a,b(see arrow A in FIGS. 1 and 4). This may be accomplished by any suitablemethod, in the embodiment shown in the Figures being a screw drive 302(see FIG. 3). The rate at which the winding carriage 108 is translatedis determined by the controller 102 and provided to the motor.

FIG. 4 shows a supporting follower 402 for use in wrapping the filament212 around a balloon catheter 222. Generally, the supporting follower402 includes a support bar 404 having a notch or groove 406 forreceiving the catheter 222. Paired rollers 408 a,b rotatably support thecatheter 222, allowing the catheter 222 to rotate freely therebetween. Aguide pin 410 both supports catheter 222 and guides filament 212 as thefilament 212 wraps around the catheter 222 in the manner which will bedescribed in detail below. In use, the winding carriage 108 travels inthe direction denoted by arrow A. As the catheter 222 rotates, thefilament 212 winds thereabout. The skilled artisan will appreciate thatin accordance with the diameter of the balloon catheter to be checkeredand the parameters input into the device 100, ally suitable pitch may beprovided. A pitch of from about 0.5 mm to about 3 mm is contemplated,with the wound filament defining an included angle of from about 0 toabout 45° from the vertical. Of course, this will be determined by avariety of factors, including the rate of travel of the winding carriage108, the rate at which the balloon catheter 222 is rotated, etc. In thedepicted embodiment, a helical pattern is provided having a pitch ofabout 1 mm. The edge-to-edge spacing (between adjoining filament 212loops) in this view is on the order of about 1 mm.

Catheter distal end holder 106 a includes a clamping assembly 112 (seeFIG. 5). Clamping assembly 112 includes a central guide post 502 havinga groove 504 for receiving a catheter body proximal to the balloon to bewound (not shown). A spring-loaded clamp 506 is included, for holding acatheter body in place. Spring-loaded clamp 506 also includes a tie post508 to which the filament 212 may be secured during operation of thedevice. The clamping assembly 112 further includes a detent (not shownfor convenience) for retaining the spring-loaded clamp 506 in the openposition, such as when a catheter is to be loaded or unloaded. Clampingassembly 112 is rotatably attached to catheter body holder 104, suchthat the clamping assembly 112 rotates when the holder 104 rotates.

FIG. 6 a shows a mandrel support assembly 602, including channels 604adapted for receiving and sliding along tracks or shafts 232. A frictionbrake 606 reversibly secures mandrel support assembly 602 in place atthe desired position on tracks or shafts 232. Mandrel support assembly602 further includes a mandrel support 608 defining a receiver, andhaving a slot 610 in a wall thereof.

FIG. 6 b shows a mandrel assembly 612 for receiving a catheter 222distal tip (not shown in this view). The mandrel assembly 612 includes amandrel adapter 614 having an aperture (not shown in this view) forreceiving a mandrel 618 and guard 620 therein. Set screws 616 a,b orother suitable fasteners retain the mandrel end in place, preventinginadvertent removal from the mandrel adapter 614. The distal tip guard620 may be provided to protect the catheter 222 distal tip (not shown)from damage.

In use, a portion of mandrel 618 is sleeved by the lumen of a catheter222 distal tip (not shown). A portion of the catheter 222 distal tip isin turn sleeved in a lumen of distal tip guard 620 such that the distaltip is protected from damage. This assembly is inserted in the aperturein mandrel adapter 614, and secured in place with set screws 616 a,b.Next, mandrel adapter 614 with distal tip guard 620/mandrel 618 receivedtherein is placed in the receiver defined by mandrel support 608. Distaltip guard 620 rotatably rests in slot 610. The position of mandrelsupport assembly 602 is adjusted as necessary along tracks or shafts232, in accordance with the length of catheter 222 (held by catheterdistal end holders 106 a,b) to be checkered. The catheter 222 is thenready for the checkering operation as described above.

It will be noted that mandrel adapter 614 may rotate freely in mandrelsupport 608, whereby when a catheter 222 is secured in catheter distalend holders 106 a,b and catheter body holder 104 rotates, both mandreladapter 614 and clamping assembly 112 rotate at the same rate to ensureconsistent rate of rotation for each of the opposed ends of a ballooncatheter 222 held therein. Alternatively, both mandrel adapter 614 andclamping assembly 112 may rotate under the control of one or separatemotors (not shown).

The controller 102 may be configured for data entry by any of a numberof substantially conventional methods, such as a user input panel 114which may include pressure switches or a touch screen (see FIG. 1) andthe like. In this manner, in accordance with the physical dimensions ofa particular balloon catheter, the materials from which the catheter isfabricated, and the like, the user, may input the desired parametersdefining a specific winding speed, tension applied to filament 212, andair heat emanating from heater 224. Alternative data input methods arealso contemplated. For example, it is known to incorporate informationrelating to the above parameters, that is, physical dimensions of aparticular balloon catheter, the materials from which the catheter isfabricated, and the like, predetermined winding speed, tension appliedto filament 212, and air heat, in scannable means such as a bar code.Accordingly, it is contemplated also to provide a scanner such as a barcode scanner (not shown in this embodiment) for retrieving data relatingto the particular balloon catheter design on which surface indentationsare to be imposed according to the present invention.

Various components controlling the device 100 are representedschematically in FIGS. 7 a-c. First and second motors 702, 704 areprovided, for controlling transverse motion) of winding carriage 108 androtation of catheter body holder 104, respectively. A cooling fall 706is provided for cooling an interior of controller 102. A tension sensor708 provides feedback to controller 102, ensuring regulation of theamount of tension applied to filament 212. A brake 710, in the depictedembodiment being all electromagnetic braking system, controls the amountof torque required to rotate spool 210. Likewise, a rotation motor 704controls rotation of the catheter body holder 104. Control of heater 224is controlled by a solid state relay 712. A converter allows precisecontrol of the temperature of air flowing from air source 228.Initiation and termination of airflow may be regulated by a solenoid716. Inputs 116 represent switches, such as an emergency stop switch 116a for a user to stop all movement in an emergency situation, and amomentary switch 116 b to supply power to start the device 100.Additional circuit wiring and components are depicted also.

In use (see FIG. 2), a balloon catheter 222 is loaded into catheterdistal end holders 106 a,b, and secured at each end of the balloon bymandrel support assembly 602/mandrel assembly 612 and clamping assembly112. It will be appreciated that the balloon catheter 222 may alsoinclude additional components concentrically disposed on or under theballoon, such as stents, grafts, stent grafts, etc. (not shown). Theremainder of the catheter 222 body is held in catheter body holder 104,preventing interference by the catheter body. Filament 212 is passedthrough tensiometer pulleys 216 a-c, and over guide posts 218 and 220,and secured to tie post 508.

According to the specific dimensions, materials, and the like of aspecific balloon catheter/stent/stent graft (i.e., diameter and lengthof balloon, materials from which the balloon is fabricated, etc.), theuser inputs specific parameters of air temperature from heater 224, rateof travel of winding carriage 108, and tension applied to filament 212in order to achieve a specific pitch (i.e., the number of times filament212 is wound around balloon catheter 222 over a predetermined distance).Air flow rate may be fixed (in one non-limiting embodiment being 35L/min.), or may be variable from about 30 to about 50 L/min. toaccommodate multiple materials for fabricating balloons for catheters asare known in the art.

Without intending any limitation, in one specific embodiment as appliedto a balloon catheter of substantially conventional dimensions andmaterials, a tension of about 240 grams is applied to a nylon filament212 (20 pound test) and a winding carriage 108 rate of travel of fromabout 2 to about 5 cm/min. is established with application of heat asdescribed above, providing an edge to edge gap (between adjoining loopsof filament 212) or pitch of about 1 mm to provide the desired surfacepattern of indentations.

As discussed above, this may be accomplished by any number of ways, suchas by manually inputting the data. Alternatively, controller 102 may beprovided with a CPU and memory storage capacity allowing storage ofparticular operating conditions associated with a specific cathetertype, for example coded to a product trade name. In this scenario, theuser need only input the product name or other selected codingparameter, and the controller 102 will input the necessary operatingparameters to provide the desired pitch. Still further, as noted aboveit is contemplated to provide the necessary physical dimensions of theballoon catheter (or alternatively the coding allowing controller 102 toselect the predetermined operating parameters for the particularcatheter to be checkered) using scannable means such as a bar code.

After inputting the desired parameters, catheter body holder 104 rotates(and concurrently catheter distal end holders 106 a,b and catheter 222rotate at the same rate) at the predetermined rate of rotation necessaryto achieve the desired pitch. Concurrently, winding carriage 108traverses laterally (parallel to a longitudinal dimension of catheter222, see arrow A in FIGS. 1 and 3), winding filament 212 helicallyaround the longitudinal dimension of balloon catheter 222 at apredetermined pitch (see FIG. 8). Also concurrently, heater 224 isactivated and applies a predetermined heat and airflow to a section ofballoon catheter 222 (with filament 212 wound thereon), softening thematerial of balloon catheter 222 and heat-setting the balloon folds.Because filament 212 is under a predetermined tension, a surfaceindentation is created in the exterior surface of the balloon. Thisprocess continues along the predetermined length of the balloon portionof balloon catheter 222. Filament 212 is wound a short distance overdistal tip guard 620 (see FIG. 8) to ensure that the entire surface ofthe balloon receives the desired pattern of surface indentations. Atthis stage the controller 102 may terminate the process. The user thenneed only cut filament 212, remove balloon catheter 222 from the device100, and remove filament 212 from the surface of balloon catheter 222,leaving the desired pattern of surface indentations. The device 100 maythen reset, manually or automatically, and is ready for the next ballooncatheter.

The depicted embodiment of the invention shows a device and method forproviding a pattern of surface indentations in an exterior surface of aballoon catheter. However, as noted above, it is known also toconcentrically overlap other structures over a balloon of a ballooncatheter 222, such as without limitation stents, stent grafts, and thelike. The skilled artisan will readily appreciate that the presentdevice and method are easily adaptable to these alternative structures,such as by inputting data informative of any additional dimensions ofthickness or length added by the additional structures, in the mannerdescribed for the balloon. Thus, it is readily apparent that the presentdevice and method also serve to provide desired patterns of surfaceindentations in an exterior surface of such stents, stent grafts, etc.concentrically disposed on a balloon catheter, to confer the samedesired properties of a low profile configuration conforming to theexterior dimensions of the catheter distal end, improved catheterflexibility, and improved reformation and reversion of the balloon tothe low profile configuration upon deflation.

Certain advantages of the invention over the prior art should now bereadily apparent. The skilled artisan will readily appreciate that bythe present disclosure is provided a simple, efficient, and economicalprocess, and all automated device for accomplishing the process, forproviding a desired pattern of surface indentations in an exteriorsurface of a balloon catheter. The device accommodates any length ofcatheter via the catheter body holder. In particular, the presentprocess and device allow automated surface indentation of a ballooncatheter of any length in a single pass, reducing the amount of laborrequired. That is, the steps of winding a filament, tape, bead, or thelike under tension around a balloon catheter and applying heat to createthe desired surface pattern are accomplished automatically and insubstantially a single step, reducing manufacturing time and costs. Evenmore, the automated nature of the process provides a way to achieve arepeatable, precisely controlled pattern of surface indentations in aballoon catheter, markedly improving quality control parameters fromballoon catheter to catheter.

Finally, one of ordinary skill in the art will recognize that additionalembodiments are also possible without departing from the teachings ofthe present invention. This detailed description, and particularly thespecific details of the exemplary embodiments disclosed herein, is givenprimarily for clarity of understanding, and no unnecessary limitationsare to be implied, for modifications will become obvious to thoseskilled in the art upon reading this disclosure and may be made withoutdeparting from the spirit or scope of the invention. Relatively apparentmodifications, of course, include combining the various features of oneor more figures with the features of one or more of other figures.

1. A device for winding a filament around a structure concentricallydisposed around an exterior surface of a balloon catheter to provide apredetermined pattern of surface indentations in an exterior surface ofthe structure, comprising: a first rotatable holder for rotating theballoon catheter about a longitudinal axis; a second rotatable holderincluding a raised lip and an interior portion for holding an elongatedproximal end portion of the catheter extending generally transverse tothe longitudinal axis and not being wrapped with the filament, atranslatable winding carriage for winding the filament around thestructure; and a controller for controlling the translatable windingcarriage to move along the longitudinal axis of the balloon catheter towind the filament around the balloon catheter at a predetermined pitchand for controlling the first rotatable holder to rotate about thelongitudinal axis during the movement of the translatable windingcarriage.
 2. The device of claim 1, wherein the structure comprises aballoon, and the translatable winding carriage includes at least afilament spool for holding a length of the filament for winding aroundthe balloon, a tensioner for applying a tensioning force to the filamentduring the filament winding, and a heater for applying heat to a sectionof the balloon having a length of filament wound therearound; wherebythe filament is wound around the balloon catheter exterior, the balloonis heat set, and the predetermined pattern of surface indentations areprovided in the balloon exterior surface in a single pass.
 3. The deviceof claim 1, whereby the second holder is adapted to receive theelongated proximal end portion during the filament winding on thestructure such that the device may be used with multiple lengths ofcatheter without adjustment.
 4. The device of claim 1, wherein the firstholder comprises a clamping assembly for receiving an intermediateportion of the balloon catheter and further including a mandrel forholding a distal end of the balloon catheter.
 5. The device of claim 4,wherein the clamping assembly includes a tie post to which the filamentis attached.
 6. The device of claim 1, further including a heat sourcefor heating the filament during winding, said heat source carried by thewinding carriage.
 7. A device for winding a filament around an exteriorsurface of a structure concentrically disposed around a distal end of aballoon catheter to provide a predetermined pattern of surfaceindentations in an exterior surface of the structure, comprising: afirst rotatable holder for rotating the balloon catheter about alongitudinal axis; a second rotatable holder including a raised lip andan interior portion for holding an elongated proximal end portion of thecatheter extending transverse to the longitudinal axis and not beingwrapped with the filament; a winding carriage translatable along thelongitudinal axis of the balloon catheter for helically winding thefilament around an exterior surface of the structure; a heater forapplying heat to a section of the balloon catheter having the filamentwound therearound; and a controller for controlling at least the rate ofrotation of the holder and a rate of travel of the translatable windingcarriage along the longitudinal axis of the balloon catheter.
 8. Thedevice of claim 7, wherein the translatable winding carriage includes afilament spool for holding a length of the filament.
 9. The device ofclaim 7, whereby the second holder is adapted to receive the elongatedproximal end portion during the filament winding on the structure suchthat the device may be used with multiple lengths of catheter withoutadjustment.
 10. The device of claim 7, wherein the first holdercomprises a clamping assembly and a mandrel for holding the ballooncatheter at opposed ends.
 11. The device of claim 10, wherein theclamping assembly includes a tie post to which the filament is attached.12. The device of claim 7, wherein the heater is supported by thewinding carriage.
 13. A device for winding a filament around at least afirst portion of a catheter aligned with a longitudinal axis,comprising: a carriage adapted for moving along the longitudinal axiswhile winding the filament around the first portion of the catheter; aholder for holding the catheter adjacent to the carriage during windingof the filament, said holder comprising a clamp mounted for rotationabout the longitudinal axis and a rotatable body adjacent to therotatable clamp, said rotatable body having a raised circumferential lipfor retaining the catheter; and a controller for controlling themovement of the winding carriage along the longitudinal axis and therotation of the rotatable clamp about the longitudinal axis.
 14. Thedevice of claim 13, wherein the rotatable clamp comprises an elongatedgroove aligned with the longitudinal axis for receiving the catheter.15. The device of claim 13, wherein the holder is adapted for retainingan elongated portion of the catheter having a direction of elongationextending transverse to the longitudinal axis.
 16. The device of claim13, further including a motor for rotating the holder for the catheterabout the longitudinal axis.
 17. The device of claim 13, wherein thecatheter comprises a balloon, and further including a heater forapplying heat to the balloon adjacent the point at which the filament iswrapped.
 18. The device of claim 13, further including a heatersupported by the winding carriage.
 19. The device of claim 13, furtherincluding means for heating the catheter or the filament during windingof the filament.
 20. The device of claim 19, wherein the means forheating comprises a heater positioned adjacent a point at which thefilament is wrapped around the catheter.